Active NPI
Lenlock RX, LLC Dba Cleburne Pharmacy
- Community/Retail Pharmacy
- Anniston, AL
National Provider Identifier
1003500752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LENLOCK RX, LLC DBA CLEBURNE PHARMACY
- Practice address
- 21 Bill Robison Pkwy Ste B
Anniston, AL 36206-2624 - Phone
- (256) 444-6282
- NPI assigned
- Jun 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank Tant
- Title
- Owner
- Phone
- (770) 680-1997
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
21 Bill Robison Pkwy Ste B
Anniston, AL 36206-2624
Mailing address
21 Bill Robison Pkwy Ste B
Anniston, AL 36206-2624
Phone (256) 444-6282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240820004141 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 6002354180 | Practice locations: Anniston, AL |
National Provider Directory
National Provider Directory- Tax ID family
- Lenlock RX LLC Dba Cleburne
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Anniston, AL
- NPI 1659194926
Locations
21 Bill Robison Pkwy
Ste B
Anniston, AL 36206
Phone (256) 444-6282
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Anniston, AL
- NPI 1194131136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686787200000",
"number": "1003500752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 BILL ROBISON PKWY STE B",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362062624",
"telephone_number": "256-444-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BILL ROBISON PKWY STE B",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362062624",
"telephone_number": "256-444-6282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LENLOCK RX, LLC DBA CLEBURNE PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A",
"authorized_official_last_name": "TANT",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-680-1997"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.